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Organization
COASTAL THERAPY CENTER LLC
Active
Organization
COASTAL THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR NORMAN KLOSE MA, LCAS (CO-OWNER)
(919) 439-9467
Entity
Organization
Contact information
Practice address
9101 COLEWAY DR, HOLLY SPRINGS, NC 27540-4463
(919) 439-9467
Mailing address
PO BOX 1328, HOLLY SPRINGS, NC 27540-1328
(919) 439-9467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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